| NPI | 1326727512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0034298) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN.385329) |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2025-08-27 |